Revista española de cardiología (English ed.)最新文献

{"title":"Failure of the new underexpansion criteria to predict outcomes after ACURATE neo2 valve implantation: results from an independent multicenter registry.","authors":"Manuel Pan, Rafael González-Manzanares, Sergio García Blas, Juan M Ruiz-Nodar, Elena Izaga Torralba, Alba Abril Molina, José M de la Torre-Hernández, Daniel Tébar, Ignacio Gallo, Claudio Rivadulla, Francisco Torres Saura, Antonio E Gómez Menchero, José F Díaz, Gabriela Veiga Fernández, Joaquín Vila-García, Marta Herrero Brocal, Raúl Moreno, Juan Sanchis, Soledad Ojeda","doi":"10.1016/j.rec.2025.09.007","DOIUrl":"https://doi.org/10.1016/j.rec.2025.09.007","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Suboptimal outcomes with the ACURATE neo2 valve have been attributed to valve frame underexpansion, reported in approximately 20% of cases according to 3 recently proposed angiographic criteria. We aimed to validate these criteria in an independent registry with a 2-year follow-up.</p><p><strong>Methods: </strong>This registry included 696 patients with severe aortic stenosis treated with the ACURATE neo2 valve at 7 experienced centers. Underexpansion was defined as the presence of at least 1 of the 3 criteria; the boundary box method was also applied to assess postparallelism. The primary endpoint was a composite of all-cause mortality, stroke, or heart failure hospitalization at 2 years.</p><p><strong>Results: </strong>The mean age was 81  ±  5.8 years. Based on the 3-criteria method, underexpansion was identified in 154 patients (22%). There were no significant differences in the primary endpoint between the 2 groups. The cumulative incidence of the composite outcome was 13.7% vs 11.0% at 1 year and 21.0% vs 17.4% at 2 years for the underexpanded and expanded groups, respectively (P =  .535). Similarly, no differences were observed with the boundary box method. On multivariable analysis, underexpansion was not independently associated with the primary endpoint (HR, 1.15; 95%CI, 0.73-1.80, P  =  .537). The only variables significantly associated with major adverse events at 2-years were atrial fibrillation, diabetes mellitus, and reduced glomerular filtration rate.</p><p><strong>Conclusions: </strong>The presence of at least 1 angiographic underexpansion criterion after ACURATE neo2 implantation did not predict adverse outcomes at follow-up.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spiked helmet sign on the electrocardiogram as a critical indicator.","authors":"Guillem Balagué-Dobon, José María Moreno-Coca, Rut Andrea","doi":"10.1016/j.rec.2025.09.010","DOIUrl":"https://doi.org/10.1016/j.rec.2025.09.010","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IVUS-guided rotational atherectomy for pulmonary cement embolization.","authors":"Jose A Sorolla Romero, José J Martínez-Rodrigo, Jorge Sanz-Sánchez","doi":"10.1016/j.rec.2025.09.009","DOIUrl":"https://doi.org/10.1016/j.rec.2025.09.009","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Panda eyes and elephant trunk in an abdominal aortic aneurysm.","authors":"Hisato Takagi","doi":"10.1016/j.rec.2025.09.008","DOIUrl":"https://doi.org/10.1016/j.rec.2025.09.008","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of transcatheter patent ductus arteriosus closure in infants weighing 2 to 6 kg.","authors":"Sophie Malekzadeh-Milani, Paul Padovani, Kothandam Sivakumar, Thomas Goronflot, Mathilde Méot, Matthew I Jones, Naychi Lwin, Caroline Ovaert, Sébastien Hascoët, Zakaria Jalal, Carles Bautista-Rodriguez, Marc Gewillig, Hugues Lucron, Konstantin Averin, Béatrice Susanne Kahl, Janus Freyr Gudnason, Alejandro J Torres, Bruno Lefort, Zakhia Saliba, Ali Houeijeh, Michal Galeczka, Hasri Samion, Sonia El Saiedi, Juan Manuel Lange, Nurit Yaakobi-Simhayoff, Alessia Callegari, Anders Haugom Christensen, Martin B Ystgaard, Jean-Bernard Selly, Hélène Bouvaist, Deborah Neil, Domenico Sirico, Clément Karsenty, Catalina Vargas-Acevedo, Ernesto Mejia, Eric Rosenthal, Céline Grunenwald, Nadir Benbrik, Oscar Werner, Anne Chauvire Drouard, Marine Gloanec, Antoine Moktadir, Jean-Benoit Thambo, Mélanie Brard, Gérald Laforest, Pramod Sagar, Anu Joseph, Thejaswi Puthiyedath, Henrik Holmstrom, Roland Fiszer, Håkan Wåhlander, Ina Michel-Behnke, Damien Bonnet, Pierre-Antoine Gourraud, Gianfranco Butera, Shakeel A Qureshi, Alain Fraisse, Gareth J Morgan, Alban-Elouen Baruteau","doi":"10.1016/j.rec.2025.09.011","DOIUrl":"https://doi.org/10.1016/j.rec.2025.09.011","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Transcatheter patent ductus arteriosus (PDA) closure is safe in < 2-kg infants and in ≥ 6-kg patients, but major safety concerns remain when applied to the intermediate weight range. We aimed to assess outcomes of transcatheter PDA closure in 2- to 6-kg infants.</p><p><strong>Methods: </strong>An international, multicenter, retrospective cohort study was conducted in 31 tertiary hospitals in 17 countries between 2000 and 2023, investigating all infants who underwent attempted transcatheter PDA closure with a procedural weight of 2-to-6 kg.</p><p><strong>Results: </strong>Attempted transcatheter PDA closure was performed in 1231 infants (median [Q1-Q3] weight, 4747 [ 3700-5300] g; median age, 132 [ 83-194] days; ex-preterm, n = 581 [56.8%]) with a 95.0% success rate. A composite outcome of procedural failure or major adverse events was observed in 173 (14%) patients, including device embolization in 64 (3.7%), device-induced left pulmonary artery stenosis in 47 (2.7%), and procedural death in 2 (0.2%). Logistic regression model analysis identified a 2- to 3.9-kg procedural weight, increased pulmonary artery pressure, and window-type or tubular ductal morphologies as independent predictors of the composite outcome. Based on propensity score matching analysis, 2- to 3.9-kg infants had a risk ratio of 2.19 (95%CI, 1.25-3.83) for experiencing the composite outcome, compared with 4- to 5.9-kg infants.</p><p><strong>Conclusions: </strong>Transcatheter PDA closure in 2- to 6-kg infants was feasible in most patients. Procedural failure or major adverse events occurred in 14% and several independent risk factors were identified, including the 2- to 3.9-kg weight range identified as a higher-risk subgroup. These findings may improve risk stratification and the decision-making process.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights into the optimal blanking period after pulmonary vein isolation with radiofrequency or pulsed-field ablation.","authors":"Josep Navarro-Manchón, María Teresa Izquierdo de Francisco, Óscar Cano Pérez, Francisco Javier Chorro Gascó, Luis Martínez-Dolz, Joaquín Osca Asensi","doi":"10.1016/j.rec.2025.08.008","DOIUrl":"https://doi.org/10.1016/j.rec.2025.08.008","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of brachial-ankle pulse wave velocity on progression of diastolic dysfunction: a cohort study.","authors":"Seung Hun Lee, Hong Choi Ki, Sung Won Cho, Soo-Hee Choi, Taek Kyu Park, Joo Myung Lee, Young Bin Song, Joo-Yong Hahn, Seung-Hyuk Choi, Hyeon-Cheol Gwon, Soo Jin Cho, Danbee Kang, Jeong Hoon Yang","doi":"10.1016/j.rec.2025.09.004","DOIUrl":"https://doi.org/10.1016/j.rec.2025.09.004","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Arterial stiffness is associated with left ventricular diastolic dysfunction (DD), which can lead to heart failure with preserved ejection fraction. However, longitudinal data on their relationship in the general population are limited. This study aimed to evaluate the association between arterial stiffness, assessed by brachial-ankle pulse wave velocity (baPWV), and the prevalence and progression of DD, as well as long-term outcomes in a large, community-based cohort.</p><p><strong>Methods: </strong>Methods: This retrospective cohort study enrolled 16 476 adults (≥ 18 years) who underwent health screening, including echocardiography and baPWV measurements, between 2010 and 2019. Participants were categorized into normal (< 1400 cm/s), borderline (1400-1799 cm/s), and elevated (≥ 1800 cm/s) baPWV groups. Multivariable regression was conducted to analyze the association between baPWV, DD progression, and all-cause mortality during long-term follow-up.</p><p><strong>Results: </strong>At baseline, the prevalence of definite DD was significantly higher in the borderline baPWV group (PR, 1.73; 95%CI, 1.23-2.23) and the elevated baPWV group (PR, 3.25; 95%CI, 2.16-4.33) compared with the normal group. Participants with borderline or elevated baPWV had a faster increase in left ventricular filling pressure (E/e´) over a mean follow-up of 4 years. Elevated baPWV was independently associated with an increased risk of incident DD (HR, 2.61; 95%CI, 1.73-3.95) and higher all-cause mortality during follow-up (HR, 3.91; 95%CI, 1.68-9.10), even after adjustment for traditional cardiovascular risk factors.</p><p><strong>Conclusions: </strong>Borderline and elevated baPWV were significantly associated with a higher prevalence and faster DD progression, as well as an increased mortality risk in the general population, suggesting that baPWV is an important factor in DD pathophysiology and a useful noninvasive tool for cardiovascular risk stratification.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spontaneous coronary artery dissection confirmed by non-invasive imaging techniques.","authors":"Teresa Bastante, Beatriz López-Melgar, Fernando Alfonso","doi":"10.1016/j.rec.2025.09.005","DOIUrl":"https://doi.org/10.1016/j.rec.2025.09.005","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Air pollution and myocardial infarction in Spain: methodological considerations and a broader clinical context.","authors":"Artur Dziewierz, Giuseppe Biondi-Zoccai, Zbigniew Siudak","doi":"10.1016/j.rec.2025.09.006","DOIUrl":"https://doi.org/10.1016/j.rec.2025.09.006","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative and periprocedural management of antithrombotic therapy: 2025 consensus document of SEC, SEDAR, SEACV, SECCE, AEC, SECOM CYC, SECPRE, SEPD, SEGG, SEGO, SEHH, SETH, SEMERGEN, SEMFYC, SEMG, SEMICYUC, SEMI, SEMES, SEN, S.E.N., SENEC, SEPAR, SEO, SEORL-CCC, SEPA, SERVEI, SECOT, and AEU.","authors":"David Vivas, Raquel Ferrandis, Manuel Anguita-Sánchez, María Anguita-Gámez, Juan Ignacio Arcelus, Marysol Echeverri, Isabel Egocheaga, María Asunción Esteve-Pastor, José Luis Ferreiro, Juan Vicente Llau, Vanessa Roldán, Juan Miguel Ruiz-Nodar, David González-Casal, Mónica Torres-Fonseca, José López-Menéndez, Míriam Ciria, Francisco Leyva, Enrique Rodríguez de Santiago, María Teresa Vidán, Loida Pamplona, María Eva Mingot-Castellano, José Mateo-Arranz, José Polo, Ángel Castellanos, Celina Llanos, Olga Madridano, Sònia Jiménez, María Del Mar Freijo, María Jesús Puchades, Jesús Lafuente, David Jiménez, Enrique Santos-Bueso, Eduardo Ferrandis, Elena Figuero, Claudia Jimena González-Nieto, Ana Castel, Juan Francisco Hermida, Francisco Marín, Luis Rodríguez-Padial, Ignacio Fernández-Lozano, Francisco Hidalgo, Concepción Cassinello, Eva Muñoz, Nora Palomo-López","doi":"10.1016/j.rec.2025.09.003","DOIUrl":"https://doi.org/10.1016/j.rec.2025.09.003","url":null,"abstract":"<p><p>In recent years, the use of anticoagulant and antiplatelet medications has significantly increased, along with rising life expectancy. As a result, many patients on antithrombotic therapy will eventually require invasive procedures. This necessitates decisions on the appropriateness and timing of discontinuing anticoagulation and/or antiplatelet therapy in each case. Although a key multidisciplinary consensus document was published in 2018 to guide this process, its practical application has been limited. Furthermore, adherence to its recommendations has been low, leading to a higher incidence of both thrombotic and hemorrhagic adverse events. To address these issues and reflect advances in knowledge, it has been decided to update the previous consensus document to include developments since 2018. The aim is to simplify clinical decision-making and gain support from a broader range of scientific societies. Ultimately, the goal is to improve the dissemination and practical application of these recommendations to optimize the safety and effectiveness of antithrombotic treatment in patients requiring invasive procedures, reduce complications associated with inappropriate treatment, and enhance clinical outcomes in this increasingly complex scenario. Full English text available from: www.revespcardiol.org/en.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}